The Medical Transcriptionist Is A Vital Link In The Delivery Of Patient Healthcare :The Medical Transcriptionist is a Vital Link in the Delivery of Patient Healthcare The hospital admission sheet or patient demographic face sheet contains: • Patient’s address • Next of kin • Birthplace • Social security number • Occupation • Sex • Marital status • Ethnic origin • Religious preference • Admitting diagnosis • Financial entries that include patient’s employer, job title, address of company, insurance company, person responsible for emergency notification and payments, type of coverage, insurance identification number, type of payment plan The hospital is required by federal law to collect this minimum amount of information, which is recorded on the admission face sheet and available in some format to the Medical Transcriptionist to assist in patient identification.

The Medical Transcriptionist’s role here is to transcribe this information with complete accuracy in a timely manner.The admissions department is also responsible for obtaining a consent form which includes:• Patient’s consent for treatment • Outline of patient’s responsibilities including billing


•The assurance that confidentiality will be protected. Other informed consents for surgery,procedures,invasive diagnostic tests,transfer,etc. will be obtained as appropriate.Medical entries of the patient’s healthcare record include:

•Physician orders •iagnostic tests •Nursing entries •Physician entries
•Therapists’ entries •Ancillary personnel entries. Emergency record:Patients
evaluated and treated in the Emergency Department receive a condensed version of the inpatient healthcare record that includes:•Demographic
information •Nursing assessment •Physician’s evaluation •Treatment
•Conclusions, Click Here for rest......

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